[] 1 The dwelling and the terrain, and is paying for it[] 2 The dwelling and the terrain, and are already paid for[] 3 Only the dwelling, and is paying for it[] 4 Only the dwelling, and it is already paid for

Habitual Resident: is the person who has lived in the dwelling the majority of the last twelve months or has lived less time there but intends to continue living there.

13. How many people of this household regularly reside in this dwelling?_ _ Total (HogPR01)
_ _ Men (HogPR02)
_ _ Women (HogPR03)

14. Tell me the first and last name of each one of the people of this household, starting with the head or other reference person (dont forget the elderly or the newly born).

14.1 Person number (PerId) ____
14.2 First and last name (PerPH01) ____
14.3 Is this a man or a woman?

[] 1 Man[] 2 Woman

14.4 Identification of informants (PerPH03) ____

15. I have noted the following people (read the names out loud). Do any of these people regularly reside in another dwelling? (HogPR04)

[] 1 Yes[] 2 No

16. Is there anyone that I have not noted that regularly resides here, for example, children of separated parents, elderly, people temporally absent because of vacations, work, sickness, or other cause? (HogPR05)

[] 1 Yes[] 2 No

People

Number of person ____First and last name of the person ____

Age

For everyone:

1. How old is the person (in completed years)? (PerNa01)Age _ _ _

2. What is his/her birth date? (PerNa02)

Day _ _Month _ _Year _ _ _ _

Kinship relationship

For everyone:[Questions 3-5 are asked of everyone.]

3. What is the kinship relationship that [the respondent] has to the head of the household or the reference person? (PerPa01)

[] 1 Head of the household or reference person [] 2 Spouse or partner[] 3 Son/daughter of both[] 4 Son/daughter only of the head[] 5 Son/daughter of the spouse or partner[] 6 Son/daughter-in-law[] 7 Father/mother[] 8 Father/mother-in-law[] 9 Brother/sister[] 10 Brother/sister-in-law[] 11 Grandson/granddaughter[] 12 Other relative[] 13 Other non-relative[] 14 Domestic help or family thereof[] 15 Member of a collective household

If the response from q. 3 is 11, 12, 13, or 14, and informant is 17 completed years or younger in q.1: [Respondent would answer question 4-5 only if the response to question 3 is 11, 12, 13 or 14; and if the respondent is 17 years or younger in question 1.]

4. Is the mother a member of this household? (PerPa02)

[] 1 Yes

Who is it? (No. of the person) (PerPa02_1) _ _

[] 2 No

5. Is the father a member of this household? (PerPa03)

[] 1 Yes

Who is it? (No. of the person) (PerPa03_1) _ _

[] 2 No

Ethnic or Racial Ancestry

For everyone:[Questions 6-7 are asked of everyone.]

6. Do you think you have any of the following ancestry?

6.1 African or black? (PerER01_1)

[] 1 Yes[] 2 No

6.2 Asian or yellow (amarilla)? (PerER01_2)

[] 1 Yes[] 2 No

6.3 White? (PerER01_3)

[] 1 Yes[] 2 No

6.4 Indigenous? (PerER01_4)

[] 1 Yes[] 2 No

6.5 Other? (PerER01_5)

[] 1 Yes[] 2 No (Specify) (PerER01_5_1) ____

(If the informant responded Yes to one ancestry only, skip to q. 8)

[Question 7 is asked only when the respondent responded "Yes" to more than one ancestry in question 6.]